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Gisselle Meza

Gisselle Meza

ABA - Billing Auditor

Talent
Keansburg, Borough of Keansburg, MonmouthMember since October 12, 2025
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About

With over twenty years of experience in the medical billing/administrative assistant field, I can attest that my experience and daily challenges have taught me a great deal about the importance of respecting and understanding people. I know that the position would require schedule flexibility, along with management strategies, an outstanding work ethic, and exceptional communication skills.

Experience

Examine patient records to verify the accuracy and completeness of documentation, ensuring it supports the billed services. 

Analyze medical coding (CPT, ICD-10, HCPCS) and billing data to identify discrepancies, errors, and potential areas for improvement. 

Detect and document billing errors, including incorrect coding, improper modifiers, and inaccurate claim submissions. 

Investigate denied claims to determine the root cause of denials and develop strategies to prevent future denials. 

Reviewing patient medical records and documentation.

Assigning appropriate codes for diagnoses, procedures, and treatments using standardized coding systems (ICD-10, CPT, HCPCS).

Ensuring accuracy and compliance with coding guidelines and regulations.

Following up on unpaid or denied claims and initiating appeals as necessary.

Handling patient inquiries regarding bills and payment plans.

Maintaining accurate patient accounts and billing records.

Maintaining and updating electronic health records (EHR) and billing software.

Ensuring compliance with HIPAA regulations and other healthcare regulations.

Collaborating with healthcare providers and other staff to ensure accurate billing and coding practices.

Education

Walden University August 2025-Present

MHA Candidate Minneapolis, Minnesota

 

Georgian Court University August 2015-May 2017

Bachelor of Arts - Spanish Lakewood, New Jersey

 

Brookdale Community College September 2013-August 2015

Associates of Arts – Administration Lincroft, New Jersey

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